EP2441398A1 - Bloc de guidage pour plaque osseuse - Google Patents

Bloc de guidage pour plaque osseuse Download PDF

Info

Publication number
EP2441398A1
EP2441398A1 EP11184357A EP11184357A EP2441398A1 EP 2441398 A1 EP2441398 A1 EP 2441398A1 EP 11184357 A EP11184357 A EP 11184357A EP 11184357 A EP11184357 A EP 11184357A EP 2441398 A1 EP2441398 A1 EP 2441398A1
Authority
EP
European Patent Office
Prior art keywords
locking element
bore
bone plate
bone
rod
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP11184357A
Other languages
German (de)
English (en)
Other versions
EP2441398B1 (fr
Inventor
Alexander Murashko Jr.
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Stryker Leibinger GmbH and Co KG
Original Assignee
Stryker Leibinger GmbH and Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from PCT/US2010/052425 external-priority patent/WO2012050572A1/fr
Application filed by Stryker Leibinger GmbH and Co KG filed Critical Stryker Leibinger GmbH and Co KG
Publication of EP2441398A1 publication Critical patent/EP2441398A1/fr
Application granted granted Critical
Publication of EP2441398B1 publication Critical patent/EP2441398B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1782—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hand or wrist
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T408/00—Cutting by use of rotating axially moving tool
    • Y10T408/55—Cutting by use of rotating axially moving tool with work-engaging structure other than Tool or tool-support
    • Y10T408/567—Adjustable, tool-guiding jig

Definitions

  • the present invention relates to a bone plating system and instrumentation used in the fixation of fractures of long bones such as the femur, tibia, humerus and radius, including periarticular fractures. More specifically, the present invention encompasses a bone plating system that aids in the location of bone screws and drilling of pilot holes for the placement and intraoperative adjustment and fixation of the plate to the fractured bone.
  • Typical fixation of a fracture of a long bone with a bone plate requires making an incision in the tissue, reducing the fracture, placing a bone plate on the fractured bone, and securing the bone plate to the bone with fixation elements such as screws.
  • the bone plate immobilizes the fracture and keeps the bone in a correct position so as to allow the fracture to heal.
  • bone plates have a bone contacting side and a side facing away from the bone with a plurality of holes or apertures extending between the two surfaces.
  • These holes or apertures may be either threaded (for use with locking screws) or non-threaded (for use with regular screws) and may be circular or oblong in shape.
  • bone stabilizing implants are frequently used.
  • Such implants are for instance metal plates, which are made e.g. from surgical stainless steel or titanium. Plates used for such purposes are usually fixed to the bone parts by means of threaded screws, which are driven into the bone tissue after so-called pre-drilled or pilot-drilled holes have been generated in the bone tissue. These pre-drilled holes allow for a reliable screwing procedure whereby the risk of further destroying the bone with the screw is significantly reduced.
  • aiming or targeting devices which work like a drilling jig.
  • an aiming or targeting device is detachably fixed to the metal plate in a precise position.
  • the plate has a head portion for placement adjacent the metaphysis of the bone and a shaft portion for placement against the diaphysis of the bone.
  • the plate includes both locking (threaded) holes and non-locking holes.
  • the locking holes are adapted to receive bone screws with threaded heads or proximal areas which engage the threads in the locking holes to thereby lock the screw to the plate. Bone screws without threaded heads can be then inserted into the non-locking holes or into the oblong holes which oblong holes permit the screws to be oriented at various angles.
  • a drill guide system including a bone plate and aiming block is shown in U.S. Patent Application Publication No. 2009/0157086 , the disclosure of which is incorporated herein by reference.
  • proximal means closer to the heart and the term “distal” means more distant from the heart.
  • distal means more distant from the heart.
  • inferior means toward the feet and the term “superior” means towards the head.
  • anterior means towards the front part of the body or the face and the term “posterior” means towards the back of the body.
  • medial means toward the midline of the body and the term “lateral” means away from the midline of the body.
  • a drill guide for a bone plate having holes therethrough for receiving bone screws which guide includes a guide block having drill guide bores alignable with at least two bone screw receiving holes in the bone plate.
  • a first locking element extends through a guide block drill guide bore.
  • the first locking element has a tip for engaging a bone screw receiving holes in the bone plate. The tip is selectively expandable to engage and disengage from the bone plate hole.
  • a second locking element is mounted on the guide block and is engageable with a bone plate hole.
  • the second locking element may also have a tip for resiliently engaging walls of the bone plate hole.
  • the tip of the first locking element is bifurcated having a split portion and the first locking element includes an axially moveable rod for expanding the split tip portion the first and second locking elements may be identical.
  • the first locking element includes a threaded axial bore for receiving the axially moveable rod and wherein the axially moveable rod is threaded whereby rotation of the threaded rod moves the rod into and out of engagement with an internal contact surface around a bone in the split tip portion of the first locking element.
  • the split tip has at least two arms or branches formed by axially extending slots open at a free end of the first locking element tip.
  • the first locking element includes an antirotation pin extending radially, preferably along an axis perpendicular to a guide bore axis, for engaging an anti-rotation feature of the guide block in the form of radially extending open or grooves adjacent each hole.
  • the second locking element preferably has a central bore and a tip split into at least two branches surrounding the bore wherein the tip has four branches separated by slots open to a free end of the tip.
  • the branches Preferably, the branches have a lip formed adjacent the free end for engaging a reduced diameter area in the bone plate bore wherein the lip has a smaller diameter than a portion of the second locking element extending through the guide block hole.
  • a method for drilling holes in bone for receiving bone screws includes placing a bone plate having at least two bone screw receiving holes therethrough on a bone.
  • a drill guide block is then placed on the bone plate, the drill guide block has at least two drill guide bores and is placed in alignment with the bone screw receiving holes of the bone plate.
  • the first locking element is inserted into a first of the drill guide bores of the guide block and into engagement with a corresponding first bone screw receiving hole in the bone plate.
  • a second locking element mounted on the drill guide block is inserted into engagement with a hole in the bone plate.
  • a hole is drilled in the bone using a second drill guide bore on the drill guide block and through a second bone screw receiving hole on the bone plate. Once the pilot hole is drilled through one drill guide bore the first locking element can be located in this bore and a hole drilled in the first drill guide bore.
  • a drill guide system for a bone plate having holes therethrough for receiving bone screws comprising: a guide block having at least two drill guide bores, each bore alignable with a bone screw receiving hole in a bone plate.
  • the guide block has a first surface for contacting a surface of a bone plate and a second surface opposite the first surface.
  • a locking element is provided extending through a drill guide into the bone plate bone screw receiving bore.
  • the locking element has a bore with a threaded portion and a bifurcated tip for engaging an inwardly extending protrusion on the wall of a bone screw receiving hole in the bone plate.
  • the bifurcated tip has an outwardly extending flange engaging a surface of the bone plate protrusion facing a bone contacting surface of the bone plate.
  • An axially movable rod has a threaded portion mounted in the threaded bore portion of the locking element.
  • the rod has a head engaging the second surface of the guide block and a tip engaging a bore in the tip of the locking element and is capable of spreading sections of the bifurcated tip on axial movement of the rod prior to the rod head contacting the second surface of the aiming block.
  • the axially moveable rod has an outwardly extending stop element for engaging a stop surface on the guide block.
  • the locking element has a stop element extending through a wall of the locking element in a direction transverse to the bore therein into the bore of the guide bore.
  • the locking element stop element is also engagable with a stop element on the axially moveable rod on movement of the rod element head away from the second surface of the guide block. This prevents the rod from being withdrawn from the locking element.
  • the stop element on the locking element may be moveable in the direction transverse to the bore in the locking element such that it engages the stop element on the axially moveable rod in a first position and does not engage the stop element in a second position. In the second position the rod can be removed from the locking element.
  • An aiming block fixation system for fixing an aiming block to a bone plate comprising: a bone plate having an outer surface, a bone-contacting surface for application to a bone, first and second bone plate holes extending from the outer surface to the bone-contacting surface.
  • the first and second bone plate holes have a circumferential wall including an inwardly extending protrusion.
  • the first bone plate hole extends along a first axis and the second bone plate hole extends along a second axis.
  • An aiming block is provided having an upper surface, a lower surface engageable with the outer surface of the bone plate and a first aiming block bore extending from the upper surface to the lower surface along an axis which is aligned with the first bone plate hole first axis.
  • the aiming block has an additional bore extending from the upper surface to the lower surface having an axis aligned with the second bone plate hole for second axis.
  • a locking element extends through an aiming block bore into the first bone plate hole.
  • the locking element has a bore with a threaded bore portion and having a bifurcated tip portion for selectively engaging the inwardly extending protrusion.
  • An axially moveable rod having a threaded portion mounted in the threaded bore portion of the locking element.
  • the rod has a head with a surface for contacting the outer surface of the aiming block and an end portion for engaging a portion of the locking element bore in the bifurcated tip portion for separating sections of the bifurcated tip during axial movement of the rod prior to the head contacting the outer surface of the aiming block.
  • the first and second bone plate holes may be threaded or non-threaded.
  • the axially moveable rod has an outwardly extending stop element.
  • a moveable stop element is mounted in a wall of the locking element and moveably in a direction transverse, preferably perpendicular, to the locking element bore through and into the locking element bore.
  • the locking element stop element is engagable with the axially moveable rod stop element on movement of the rod element head away from the second surface of the guide block.
  • the second stop element on the locking element is moveable in a direction transverse to the bore in the locking element from a first to a second position and engages the stop element on the axially moveable rod in the first position and does not engage the stop element in the second position.
  • the bifurcated tip has four sections separated by four axially extending slits extending from the free end of the locking element tip towards the locking element head.
  • the moveable stop element is located between the locking element head and an end of the slits.
  • the moveable stop element has a head portion for engaging an anti-rotation feature in the aiming block bore.
  • FIG. 1 is an exploded view of the bone plate instrumentation of the present invention including a bone plate, drill guide aiming block and a first locking element adapted to lock the drill guide block to the bone plate;
  • FIG. 1A is a top view of the aiming block placed on top of the bone plate prior to insertion of any locking elements
  • FIG. 2 is a side elevation view of the locking element and axially moveable rod of the present invention
  • FIG. 3 is a partial cross-sectional view of the tip of the locking element of FIG. 2 ;
  • FIG. 4 is an elevation view of the bifurcated locking element of the present invention.
  • FIG. 5 is a cross-sectional view of the locking element of FIG. 4 with the axially movable rod threadably mounted therein;
  • FIG. 6 is a cross-sectional view of the bifurcated locking element along lines 6-6 of FIG. 4 ;
  • FIG. 7 is a side elevation view of the axially movable rod of the present invention.
  • FIG. 8 is a cross-sectional view of the locking element and axially moveable rod of FIGS. 4-7 mounted in an aiming block and connected to a bone plate;
  • FIG. 9 is an isometric bottom view of the bone plate shown in FIG. 8 including the locking element and axially moveable rod of the present invention.
  • FIG. 10 is a side elevation view of the locking element and axially moveable rod of a second embodiment of the present invention in a first position.
  • FIG. 11 is a cross-sectional view of the locking element and rod of FIG. 10 in the first position
  • FIG. 12 is a side elevation view of the locking element and axially moveable rod of FIG. 10 in a second position
  • FIG. 13 is a cross-sectional view of the locking element and axially moveable rod of FIG. 12 ;
  • FIG. 14 shows the step of placing a drill guide in the guide block of the present invention being held in place by a locking element
  • FIG. 15 shows the step of placing a drill guide in the guide block of the present invention having two locking elements and drilling a pilot hole
  • FIG. 16 shows a bone plate assembled to a distal radius with bone screws.
  • Instrumentation 10 includes a first locking element in the form of a locking element 12 with a sleeve 12a, a spreading pin or rod 36 and a drill guide block 14. Also shown is a bone plate 16 including a plurality of holes 18 for receiving bone screws (not shown) at one end thereof.
  • the bone plate 16 may be angled or bent to match the bone anatomy.
  • the bone plate 16 may also include a hole 18a spaced intermediate the bone plate along a longitudinal axis of plate 16. All of the bone plate holes may have an internal circumferential area of reduced diameter formed from a circumferential radially inwardly extending rib or protrusion 52 having a wedge shape.
  • Guide block 14 includes a plurality of holes 22 which are alignable with the holes 18 of the bone plate and are adapted to receive either locking element 12 or a drill guide so that pilot holes may be drilled in the bone (for example a radius) on which bone plate 16 is to be mounted. Also shown mounted in guide block 14 is a second locking element 24 which is insertable into hole 18a of bone plate 16. As shown locking element 24 may be permanently mounted in block 14 or may be a removeable locking element similar to locking element 12 located in bone 22a.
  • Locking element sleeve 12a includes a bore 60 and an expandable tip 38 received in one of the bone plate holes 18 or 18a holds the block 14 on the bone plate 16.
  • FIGS. 2 and 3 there is shown an elevation view of the assembled locking element 12 having sleeve 12a and axially moveable rod 36 of the present invention.
  • Axially moveable rod 36 includes head 34 with a drive socket 62 and is threadably received within locking element sleeve 12a.
  • a slit 42 is provided in sleeve 12a so that tip 38 of locking element sleeve 12a can expand as the axially moveable rod 36 moves inwardly towards tip 38 upon rotation of head 34.
  • Sleeve 12a has an anti-rotation element 102 adapted to be received within anti-rotation recesses 26 on the guide block 14 as shown in FIGS. 1A and 8 .
  • Anti-rotation element 102 includes a threaded shaft 100 insertable in a threaded bore 103 in sleeve 12a. Shown in FIG. 3 are the two bifurcated sections 46 and 48 of sleeve 12a formed by slit 42.
  • FIG. 3 there is an enlarged view of the tip area 38 of locking element sleeve 12a shown in FIG. 2 .
  • This includes lip 54 and recessed area 53 that includes two of the bifurcated elements 46, 48.
  • axially moveable rod 36 includes a threaded section 39 which is engagable with a threaded section 41 in the upper end of bore 60 of locking element sleeve 12a.
  • axially moveable rod 36 may be moved into and out of engagement with a circumferential internal angled surface 90 of locking element sleeve 12a shown in FIG. 5 .
  • FIG. 4 there is shown an elevation view of the locking element sleeve 12a with FIG. 7 showing an elevation view of the axially moveable rod 36 including a head 34 and threaded section 39 and angled or beveled end portion 92.
  • FIG. 5 there is shown an assembly of the locking element sleeve 12a of FIG. 4 and the axially moveable rod 36 of FIG. 7 to form locking element 12 shown in cross-section.
  • FIG. 7 there is a cross-sectional view of locking element 12 along lines 6-6 of FIG. 4 showing a pair of slots 42 and 44 forming four bifurcated segments 45, 46, 47 and 48. While four such segments are shown, two, three or more than four segments can be formed by the appropriate number of slots.
  • Locking element 12 also includes rotational stability pin 102 which has a head 105 and shaft 100 threadably mounted in bore 103 in the wall defining bore 60 of locking element sleeve 12a.
  • rotational stability pin 102 is received within slot 26 formed in the aiming block 14 to prevent rotation of locking element within the aiming block bore 18 when applying torque to head 34 of axially moveable rod 36.
  • first locking element 12 This includes head or rotatable portion 34 which rotates threaded actuating rod 36 in threaded bore 60 best shown in FIGS. 2 and 8 which moves rod 36 axially within an expandable tip 38 of first locking element sleeve 12a.
  • Sleeve 12a and rod 36 may be made of a metal or polymer such as PEEK.
  • the expandable tip 38 has an internal stepped or angled surface 92 which engages a conical tip or angled surface 90 of rod 36.
  • the expandable tip 38 can be bifurcated as shown in FIG. 6 and may contain three, four or even more branches.
  • the branches are separated by slits or slots 42, 44 extending from an open end 43 of expandable tip 38 towards threaded portion 41.
  • slits or slots 42, 44 which form four tip branches 45, 46, 47 and 48.
  • the slits or slots allow the branches to deform outwardly in a resilient fashion such that when the actuating rod 36 is moved out of engagement with stepped surface 92, the branches spring inwardly.
  • bone plate 16 includes bores or holes 18 each having an inner wall 50 including a radially inwardly extending circumferential rib 52 having tip 51.
  • Bone plate 16 has a bone contacting surface 55 and an opposite surface 57.
  • the bone contacting surface 55 of the bone plate 16 surrounding hole 18 is recessed such that the rib 52 is located intermediate the outer bone plate surface 57 and the bone contacting bone plate surface 55.
  • the end or tip 38 of first locking element 12 includes a lip 54 defining a recess 53 for receiving tip 51 of circumferential rib 52 of bone plate hole 18 inner wall 50.
  • Inner bore 60 of the first locking element sleeve 12a is threaded at 41 to receive the threaded outer surface 39 on actuating rod or pin 36.
  • Pin or rod 36 head 34 has a drive socket or other feature 62 which can be rotated using a standard tool (not shown) such as a hex drive. Rotation of rod 36 via head 34 rotates rod 36 moving it into and out of engagement with inner shoulder 90 of tip 38 and causes branches 45 through 48 to expand outwardly such that lip 54 engages tip 51 and locks the first locking element 12 and block 14 to bone plate 16 via rib 52 and head 34. Branches 45-48 are resilient and spring inwardly when rod 36 is moved out of engagement with surface 90.
  • FIG. 9 there is shown a bottom view of the locking element 12 and axially movable rod 36 mounted in plate 16 with recess 53 engaging tip 51 of protrusion 52 of bone plate 16. As shown there are only two bifurcated elements 46 and 48 in FIG. 9 .
  • FIGS. 10-13 there is shown a second embodiment of the locking element generally denoted as 112 and a sleeve element 112a and axially movable rod 136 of the present invention.
  • FIG. 10 there is shown a side elevation view of the second embodiment 112 with the axially movable rod 136 in a first position in which the bifurcated arms 146 and 148 of locking element sleeve 112a, which are identical to the bifurcated portions 46 and 48 of locking element sleeve 12a would be in an expanded position.
  • FIG. 11 there is shown a cross-sectional view of FIG.
  • axially moveable rod 136 includes a threaded portion 139 and the locking element sleeve 112a includes a threaded portion 141 which engage so that rotation of head 134 can move the rod 136 with respect to bore 160 of locking element sleeve 112a in an axial direction.
  • first stop element 145 which protrudes outwardly of rod 136 and extends circumferentially therearound.
  • Stop element 145 includes a downwardly facing circumferential surface 190 which can engage angled or slanted surface 192 of locking element sleeve 112a to expand the bifurcated tip 138 via slit or slot 142 of locking element sleeve 112a.
  • the axially moveable rod 136 can have a second stop element or surface 194 engagable with upper surface 193 at tip 104 of anti-rotation pin 102. The engagement of surface 194 and upper surface 193 tip 104 limits the downward axial movement of rod 136 as shown in FIG. 11 thus placing a limit on the expansion of the bifurcated tip 138.
  • FIG. 12 there is shown the assembly of axially moveable rod 136 and locking element sleeve 112a with the axially moveable rod in a second retracted position within bore 160 of locking element sleeve 112a.
  • FIG. 13 there is shown that, in this retracted position, the complete disassembly of rod 136 from locking element sleeve 112a is prevented by the engagement of an upwardly facing surface 196 of stop element 145 with the lower surface 195 tip 104 of anti-rotation element 102.
  • anti-rotation element 102 includes a threaded section 100 which engages threaded bore 103 in locking element sleeve 112a so that by rotation of head 105 tip 104 may be moved axially out of bore 160 of locking element sleeve 112a. In this position rod 136 may either be inserted or removed from locking element sleeve 112a.
  • the threaded portions 139 and 141 are sized to permit the engagement of surface 196 and tip 104 prior to the threads disengaging.
  • the length of rod 36 can be designed such that the engagement of bottom surface 107 of head 34 engages upwardly facing surface 109 of aiming block 14 to limit the expansion of bifurcated arms 45-48.
  • the length of rod 36 will have to be sufficient so that recess 53 of the bifurcated tip 38 locks with tip 51 of bone plate protrusion 52 prior to surface 107 engaging surface 109. This has the added advantage of tightly clamping aiming block 14 to bone plate 16 by rotation of head 34 of axially moveable rod 36.
  • FIGS. 14-16 there is shown the method of forming pilot holes of the present invention.
  • the bone plate 16 is located on an end of a long bone such as a radius 200 and the block 14 is placed on bone plate 16 with its guide bores 22 aligned with the holes 18 in plate 16.
  • the guide block 14 is held onto the plate by the first and second locking elements 12 and 24 respectively with the first locking elements extending through one of the guide bores 22. Any convenient guide bore 22 may be chosen.
  • a drill guide 110 includes a handle 152 a tubular guide 114 which receives a drill bit (not shown).
  • the drill bit may be powered by a pneumatic or electric drill and is adapted to form holes in the bone for bone screws as shown in FIG. 14 .
  • the drill guide is moved from one bore 22 to the next bore 22 and pilot holes are drilled in all the bone plate holes 18.
  • the last pilot hole is drilled in the guide bore 22 which initially had the first locking element 12.
  • Locking element 12 is placed in a guide bore which has been already used to drill a pilot hole and the drill guide is placed in the hole just vacated by first locking element 12 and that pilot hole is drilled.
  • FIG. 15 there is shown the use of two locking inserts 12 to hold the aiming block 14 to plate 16.
  • locking element 24 may be eliminated.
  • both locking elements 12 will have to be removed and relocated to drill all the pilot holes through bores 22 and 18.
  • a depth gauge 116 of any conventional type and is used to measure the depth of the pilot hole drilled. If that hole is not drilled deeply enough the hole may be re-drilled using the drill guide 110.
  • FIG. 16 shows the plate 16 mounted on bone 200 with the bone screws 120 set in the plate 16 thereby locking the upper end of the plate to the bone.
EP11184357.9A 2010-10-13 2011-10-07 Bloc de guidage pour plaque osseuse Active EP2441398B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
PCT/US2010/052425 WO2012050572A1 (fr) 2010-10-13 2010-10-13 Bloc de visée de plaque osseuse
US13/079,302 US8523862B2 (en) 2011-04-04 2011-04-04 Bone plate aiming block

Publications (2)

Publication Number Publication Date
EP2441398A1 true EP2441398A1 (fr) 2012-04-18
EP2441398B1 EP2441398B1 (fr) 2015-09-30

Family

ID=46928203

Family Applications (1)

Application Number Title Priority Date Filing Date
EP11184357.9A Active EP2441398B1 (fr) 2010-10-13 2011-10-07 Bloc de guidage pour plaque osseuse

Country Status (2)

Country Link
US (1) US8523862B2 (fr)
EP (1) EP2441398B1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106061412A (zh) * 2014-01-08 2016-10-26 史密夫和内修有限公司 钻导向系统

Families Citing this family (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012050572A1 (fr) 2010-10-13 2012-04-19 Stryker Leibinger Gmbh & Co., Kg. Bloc de visée de plaque osseuse
US8523862B2 (en) * 2011-04-04 2013-09-03 Stryker Leibinger Gmbh & Co. Kg Bone plate aiming block
US9050151B2 (en) * 2012-03-06 2015-06-09 Stryker Trauma Sa Bone plate and aiming block
EP2961338B1 (fr) * 2012-10-15 2022-01-05 Dynamic Spine, LLC Dispositif orthopédique
WO2015094409A1 (fr) * 2013-12-20 2015-06-25 Paragon 28, Inc. Appareil de guidage d'alignement, procédés et systèmes
EP4252686A3 (fr) 2012-12-28 2023-12-27 Paragon 28, Inc. Appareil de guidage d'alignement
WO2014140928A2 (fr) 2013-03-11 2014-09-18 Embark Enterprises, Inc. Système de stabilisation de grasset pour quadrupède
US9468479B2 (en) 2013-09-06 2016-10-18 Cardinal Health 247, Inc. Bone plate
USD735861S1 (en) * 2014-03-10 2015-08-04 Embark Enterprises Inc. Quadruped stifle stabilization assembly
US9615839B2 (en) 2014-03-18 2017-04-11 Howmedica Osteonics Corp. Shape-fit glenoid reaming systems and methods
USD779065S1 (en) 2014-10-08 2017-02-14 Nuvasive, Inc. Anterior cervical bone plate
US11065042B2 (en) 2015-02-04 2021-07-20 Flower Orthopedics Corporation Bone plate and guide block and attachment mechanism thereof
US11197682B2 (en) 2015-08-27 2021-12-14 Globus Medical, Inc. Proximal humeral stabilization system
US10687874B2 (en) 2015-08-27 2020-06-23 Globus Medical, Inc Proximal humeral stabilization system
US11076898B2 (en) 2015-08-27 2021-08-03 Globus Medical, Inc. Proximal humeral stabilization system
US10130402B2 (en) 2015-09-25 2018-11-20 Globus Medical, Inc. Bone fixation devices having a locking feature
US9974581B2 (en) 2015-11-20 2018-05-22 Globus Medical, Inc. Expandable intramedullary systems and methods of using the same
US9795411B2 (en) 2016-03-02 2017-10-24 Globus Medical, Inc. Fixators for bone stabilization and associated systems and methods
US10531905B2 (en) 2016-04-19 2020-01-14 Globus Medical, Inc. Implantable compression screws
US11213327B2 (en) 2016-08-17 2022-01-04 Globus Medical, Inc. Fracture plates, systems, and methods
US10687873B2 (en) 2016-08-17 2020-06-23 Globus Medical Inc. Stabilization systems
US10575884B2 (en) 2016-08-17 2020-03-03 Globus Medical, Inc. Fracture plates, systems, and methods
US10383668B2 (en) 2016-08-17 2019-08-20 Globus Medical, Inc. Volar distal radius stabilization system
US11141204B2 (en) 2016-08-17 2021-10-12 Globus Medical Inc. Wrist stabilization systems
US11331128B2 (en) 2016-08-17 2022-05-17 Globus Medical Inc. Distal radius stabilization system
US11197701B2 (en) 2016-08-17 2021-12-14 Globus Medical, Inc. Stabilization systems
US11432857B2 (en) 2016-08-17 2022-09-06 Globus Medical, Inc. Stabilization systems
US10751098B2 (en) 2016-08-17 2020-08-25 Globus Medical Inc. Stabilization systems
US10420596B2 (en) 2016-08-17 2019-09-24 Globus Medical, Inc. Volar distal radius stabilization system
US10881438B2 (en) 2017-03-10 2021-01-05 Globus Medical, Inc. Clavicle fixation system
US10368928B2 (en) 2017-03-13 2019-08-06 Globus Medical, Inc. Bone stabilization systems
US10905477B2 (en) * 2017-03-13 2021-02-02 Globus Medical, Inc. Bone stabilization systems
US10856920B2 (en) 2017-09-13 2020-12-08 Globus Medical Inc. Bone stabilization systems
US11096730B2 (en) 2017-09-13 2021-08-24 Globus Medical Inc. Bone stabilization systems
MX2020003481A (es) 2017-10-11 2020-12-07 Howmedica Osteonics Corp Guias para placa de fijacion de la cabeza humeral.
WO2019143690A1 (fr) * 2018-01-19 2019-07-25 Jace Medical, Llc Positionneur d'implant et système de placage sternal
US11224468B2 (en) 2018-03-02 2022-01-18 Globus Medical, Inc. Distal tibial plating system
US11071570B2 (en) * 2018-03-02 2021-07-27 Globus Medical, Inc. Distal tibial plating system
US11141172B2 (en) 2018-04-11 2021-10-12 Globus Medical, Inc. Method and apparatus for locking a drill guide in a polyaxial hole
US11202663B2 (en) 2019-02-13 2021-12-21 Globus Medical, Inc. Proximal humeral stabilization systems and methods thereof
AU2020221263A1 (en) 2019-02-13 2021-10-07 Paragon 28, Inc. Implant, alignment guides, system and methods of use
US11806057B2 (en) * 2019-10-17 2023-11-07 Scott D. Shoemaker System and method for surgical implant positioning and fixation
US11129627B2 (en) 2019-10-30 2021-09-28 Globus Medical, Inc. Method and apparatus for inserting a bone plate
US11723647B2 (en) 2019-12-17 2023-08-15 Globus Medical, Inc. Syndesmosis fixation assembly
US11464526B2 (en) * 2021-01-15 2022-10-11 DePuy Synthes Products, Inc. Self-orienting drill sleeve
US20220330955A1 (en) * 2021-04-16 2022-10-20 The Second Affiliated Hospital And Yuying Children's Hospital Of Wenzhou Medical University A guide plate structure for spine surgery and the production method and usage thereof
CN114848120B (zh) * 2022-05-12 2022-12-13 中国人民解放军总医院第四医学中心 一种基于髋部三角力学稳定形态的髋部骨折钢板固定模型

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5364399A (en) * 1993-02-05 1994-11-15 Danek Medical, Inc. Anterior cervical plating system
US20030040748A1 (en) * 2001-08-24 2003-02-27 Aikins Jerry L. Blade plate and instruments
US6623486B1 (en) 1999-09-13 2003-09-23 Synthes (U.S.A.) bone plating system
US20090157086A1 (en) 2007-12-17 2009-06-18 Stryker Leibinger Gmbh & Co. Kg Bone plate instrument and method
WO2009121144A1 (fr) * 2008-04-03 2009-10-08 Austofix Group Limited Gabarit d'outil pour ensemble implant osseux
US20100052425A1 (en) 2008-08-28 2010-03-04 Optisolar, Inc. Networked multi-inverter maximum power point tracking

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4828221A (en) * 1987-11-06 1989-05-09 Keystone International, Inc. Valve assembly
US6066142A (en) * 1998-10-22 2000-05-23 Depuy Orthopaedics, Inc. Variable position bone drilling alignment guide
US7357804B2 (en) * 2003-08-13 2008-04-15 Synthes (U.S.A.) Quick-release drill-guide assembly for bone-plate
WO2005037114A1 (fr) * 2003-10-17 2005-04-28 Acumed Llc Systemes de fixation du radius distal
WO2005092224A1 (fr) 2004-03-11 2005-10-06 Stefan Schwer Outil de repositionnement
WO2005102193A2 (fr) * 2004-04-19 2005-11-03 Acumed, Llc Placement d'attaches dans l'os
US8491593B2 (en) * 2006-01-17 2013-07-23 Stryker Trauma Gmbh Targeting device for orthopedic implants
US7413367B2 (en) * 2006-10-17 2008-08-19 Kenmark Industrial Co., Ltd. Combinational commodity engaging unit
US20080183172A1 (en) 2007-01-26 2008-07-31 Zimmer Technology, Inc. Retention feature for plate guides
FR2928259B1 (fr) 2008-03-07 2011-04-22 D L P Sarl Materiel pour la reduction d'une fracture,en particulier d'une fracture de radius distal
US8425573B2 (en) * 2008-10-24 2013-04-23 The Cleveland Clinic Foundation Method and system for attaching a plate to a bone
US20100179599A1 (en) * 2009-01-12 2010-07-15 Guillaume Derouet Device for reducing a bone fracture, in particular a fracture at the bone epiphyses
GB2486043B (en) * 2010-09-27 2012-10-24 Acumed Llc Instruments having a radiopaque region to facilitate positioning a bone plate on bone
US8523862B2 (en) * 2011-04-04 2013-09-03 Stryker Leibinger Gmbh & Co. Kg Bone plate aiming block
US20120191104A1 (en) * 2011-01-21 2012-07-26 Jost Reto Depth Probe for the Humeral Head
US20120271310A1 (en) * 2011-04-22 2012-10-25 Mcgee Tracy Scott Volar plate device and operative technique

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5364399A (en) * 1993-02-05 1994-11-15 Danek Medical, Inc. Anterior cervical plating system
US6623486B1 (en) 1999-09-13 2003-09-23 Synthes (U.S.A.) bone plating system
US20030040748A1 (en) * 2001-08-24 2003-02-27 Aikins Jerry L. Blade plate and instruments
US20090157086A1 (en) 2007-12-17 2009-06-18 Stryker Leibinger Gmbh & Co. Kg Bone plate instrument and method
EP2072016A1 (fr) * 2007-12-17 2009-06-24 Stryker Leibinger GmbH & Co. KG Instrument pour plaque osseuse et procédé
WO2009121144A1 (fr) * 2008-04-03 2009-10-08 Austofix Group Limited Gabarit d'outil pour ensemble implant osseux
US20100052425A1 (en) 2008-08-28 2010-03-04 Optisolar, Inc. Networked multi-inverter maximum power point tracking

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106061412A (zh) * 2014-01-08 2016-10-26 史密夫和内修有限公司 钻导向系统
US10111692B2 (en) 2014-01-08 2018-10-30 Smith & Nephew, Inc. Drill guide system and method
CN106061412B (zh) * 2014-01-08 2019-09-20 史密夫和内修有限公司 钻导向系统

Also Published As

Publication number Publication date
US8523862B2 (en) 2013-09-03
US20120253347A1 (en) 2012-10-04
EP2441398B1 (fr) 2015-09-30

Similar Documents

Publication Publication Date Title
US8523862B2 (en) Bone plate aiming block
CA2644100C (fr) Instrument pour plaque d'osteosynthese et methode
US20210346077A1 (en) Systems and methods for intramedullary nail implantation
US10751096B2 (en) Systems and methods for intramedullary nail implantation
KR100904142B1 (ko) 골수내 고정 조립체 및 이것을 장착하기 위한 장치 및 방법
US8641741B2 (en) Bone plate aiming block
JP5174670B2 (ja) 整形外科用インプラント挿入ハンドルおよび照準ガイド
US9186192B2 (en) Instrument for inserting a bone anchoring element and system of such an instrument and a polyaxial bone anchoring element
CN105142552B (zh) 通用长度螺钉设计和切割器械
CA2675138A1 (fr) Dispositif de reparation osseuse intra-medullaire percutane et son procede d'utilisation
EP2162082B1 (fr) Guide pour perceuse chirurgicale, doté d'une rainure d'entraînement pour permettre l'alignement axial d'une fixation, utilisé pour une plaque orthopédique
US11045242B2 (en) Systems and methods for intramedullary nail implantation
AU2007227246A1 (en) Orthopaedic plate and screw assembly
US20160066927A1 (en) Drill bit and method for preparing a bone for a fixation screw
US20150119943A1 (en) Systems and methods for securing a bone plate
US20220202464A1 (en) Systems and methods for intramedullary nail implantation
EP3636175A2 (fr) Systèmes d'implantation de clous intramédullaires
EP3808293A1 (fr) Systèmes de stabilisation de l'humérus proximal et procédés associés
JP2021513909A (ja) 整形外科用装置のためのドリルガイド
EP3747375A1 (fr) Systèmes d'implantation de clous intramédullaires
EP4215131A1 (fr) Systèmes d'implantation de clou intramédullaire

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

AX Request for extension of the european patent

Extension state: BA ME

17P Request for examination filed

Effective date: 20120802

RIC1 Information provided on ipc code assigned before grant

Ipc: A61B 17/80 20060101ALI20150331BHEP

Ipc: A61B 17/17 20060101AFI20150331BHEP

GRAP Despatch of communication of intention to grant a patent

Free format text: ORIGINAL CODE: EPIDOSNIGR1

INTG Intention to grant announced

Effective date: 20150515

GRAS Grant fee paid

Free format text: ORIGINAL CODE: EPIDOSNIGR3

GRAA (expected) grant

Free format text: ORIGINAL CODE: 0009210

AK Designated contracting states

Kind code of ref document: B1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

REG Reference to a national code

Ref country code: CH

Ref legal event code: EP

Ref country code: GB

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: AT

Ref legal event code: REF

Ref document number: 751902

Country of ref document: AT

Kind code of ref document: T

Effective date: 20151015

REG Reference to a national code

Ref country code: IE

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: DE

Ref legal event code: R096

Ref document number: 602011020138

Country of ref document: DE

REG Reference to a national code

Ref country code: CH

Ref legal event code: NV

Representative=s name: ISLER AND PEDRAZZINI AG, CH

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 5

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20151230

Ref country code: FI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: LT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: GR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20151231

Ref country code: LV

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

REG Reference to a national code

Ref country code: NL

Ref legal event code: MP

Effective date: 20150930

REG Reference to a national code

Ref country code: LT

Ref legal event code: MG4D

REG Reference to a national code

Ref country code: AT

Ref legal event code: MK05

Ref document number: 751902

Country of ref document: AT

Kind code of ref document: T

Effective date: 20150930

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: HR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: SE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: RS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: EE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: IT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: IS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20160130

Ref country code: NL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: ES

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: SK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: CZ

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: AT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: RO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: PL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: PT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20160201

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: GB

Payment date: 20160113

Year of fee payment: 5

REG Reference to a national code

Ref country code: CH

Ref legal event code: PUE

Owner name: STRYKER EUROPEAN HOLDINGS I, LLC, US

Free format text: FORMER OWNER: STRYKER EUROPEAN HOLDINGS VI, LLC, US

Ref country code: CH

Ref legal event code: PUE

Owner name: STRYKER EUROPEAN HOLDINGS VI, LLC, US

Free format text: FORMER OWNER: STRYKER LEIBINGER GMBH AND CO. KG, DE

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MC

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

REG Reference to a national code

Ref country code: DE

Ref legal event code: R097

Ref document number: 602011020138

Country of ref document: DE

REG Reference to a national code

Ref country code: DE

Ref legal event code: R081

Ref document number: 602011020138

Country of ref document: DE

Owner name: STRYKER EUROPEAN OPERATIONS HOLDINGS LLC, KALA, US

Free format text: FORMER OWNER: STRYKER EUROPEAN HOLDINGS VI, LLC (N.D. GES. D. STAATES DELAWARE), KALAMAZOO, MICH., US

Ref country code: DE

Ref legal event code: R081

Ref document number: 602011020138

Country of ref document: DE

Owner name: STRYKER EUROPEAN OPERATIONS HOLDINGS LLC, KALA, US

Free format text: FORMER OWNER: STRYKER LEIBINGER GMBH & CO. KG, 79111 FREIBURG, DE

Ref country code: DE

Ref legal event code: R082

Ref document number: 602011020138

Country of ref document: DE

Representative=s name: MAIWALD PATENTANWALTSGESELLSCHAFT MBH, DE

Ref country code: DE

Ref legal event code: R081

Ref document number: 602011020138

Country of ref document: DE

Owner name: STRYKER EUROPEAN HOLDINGS I, LLC (N.D. GES. D., US

Free format text: FORMER OWNER: STRYKER LEIBINGER GMBH & CO. KG, 79111 FREIBURG, DE

Ref country code: DE

Ref legal event code: R081

Ref document number: 602011020138

Country of ref document: DE

Owner name: STRYKER EUROPEAN HOLDINGS I, LLC (N.D. GES. D., US

Free format text: FORMER OWNER: STRYKER EUROPEAN HOLDINGS VI, LLC (N.D. GES. D. STAATES DELAWARE), KALAMAZOO, MICH., US

Ref country code: DE

Ref legal event code: R082

Ref document number: 602011020138

Country of ref document: DE

Representative=s name: MAIWALD PATENTANWALTS- UND RECHTSANWALTSGESELL, DE

REG Reference to a national code

Ref country code: IE

Ref legal event code: MM4A

PLBE No opposition filed within time limit

Free format text: ORIGINAL CODE: 0009261

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: NO OPPOSITION FILED WITHIN TIME LIMIT

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: DK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

26N No opposition filed

Effective date: 20160701

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 6

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20151007

REG Reference to a national code

Ref country code: GB

Ref legal event code: 732E

Free format text: REGISTERED BETWEEN 20161006 AND 20161012

REG Reference to a national code

Ref country code: GB

Ref legal event code: 732E

Free format text: REGISTERED BETWEEN 20161013 AND 20161019

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: SI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: FR

Payment date: 20160919

Year of fee payment: 6

REG Reference to a national code

Ref country code: FR

Ref legal event code: TP

Owner name: STRYKER EUROPEAN HOLDINGS I, LLC, US

Effective date: 20161108

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: BE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: SM

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: HU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT; INVALID AB INITIO

Effective date: 20111007

Ref country code: BG

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

GBPC Gb: european patent ceased through non-payment of renewal fee

Effective date: 20161007

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: CY

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: GB

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20161007

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: TR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

Ref country code: MT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: LU

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20151007

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

REG Reference to a national code

Ref country code: FR

Ref legal event code: ST

Effective date: 20180629

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: FR

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20171031

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: AL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150930

REG Reference to a national code

Ref country code: CH

Ref legal event code: PUE

Owner name: STRYKER EUROPEANS OPERATIONS HOLDINGS LLC, US

Free format text: FORMER OWNER: STRYKER EUROPEAN HOLDINGS I, LLC, US

REG Reference to a national code

Ref country code: CH

Ref legal event code: PK

Free format text: BERICHTIGUNG INHABER

REG Reference to a national code

Ref country code: DE

Ref legal event code: R082

Ref document number: 602011020138

Country of ref document: DE

Representative=s name: MAIWALD PATENTANWALTS- UND RECHTSANWALTSGESELL, DE

Ref country code: DE

Ref legal event code: R081

Ref document number: 602011020138

Country of ref document: DE

Owner name: STRYKER EUROPEAN OPERATIONS HOLDINGS LLC, KALA, US

Free format text: FORMER OWNER: STRYKER EUROPEAN HOLDINGS I, LLC (N.D. GES. D. STAATES DELAWARE), KALAMAZOO, MICH., US

P01 Opt-out of the competence of the unified patent court (upc) registered

Effective date: 20230522

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: DE

Payment date: 20230830

Year of fee payment: 13

Ref country code: CH

Payment date: 20231102

Year of fee payment: 13